Organization Active NPI

Real Time Inc

  • Sonography Radiologic Technologist
  • Wasilla, AK
National Provider Identifier
1255824801
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
REAL TIME INC
Practice address
1700 E Bogard Rd Ste A200
Wasilla, AK 99654
Phone
(907) 357-2158
Fax
(907) 357-5849
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer L Sydnam RDMS RVT RT
Title
Owner/Sonographer
Phone
(907) 357-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

1700 E Bogard Rd Ste A200
Wasilla, AK 99654

Mailing address

1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569
Phone (907) 357-2158

National Provider Directory

National Provider Directory

Locations

1700 E Bogard Rd
Ste A200
Wasilla, AK 99654
Phone (907) 290-9595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1255824801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE A200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546569",
            "telephone_number": "907-357-2158",
            "fax_number": "907-357-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE A200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-357-2158",
            "fax_number": "907-357-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TIME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "SYDNAM RDMS RVT RT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SONOGRAPHER",
        "authorized_official_telephone_number": "907-357-2158"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.